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    16 January 2017

    Have your say on local plans to limit the range of items available on NHS prescription

    Engagement runs from Wednesday 4 January 2017 to Wednesday 1 February 2017

    What are we planning to do?

    The organisations that plan and buy health services for the people of Mansfield, Ashfield, Newark and Sherwood are planning changes to what is prescribed.

    NHS Mansfield and Ashfield and Newark and Sherwood Clinical Commissioning Groups (CCGs) are asking the general public to comment about the following planned changes to prescribing and are asking if the changes should apply to ALL patients or if there are any vulnerable groups of patients who should still get these medicines and products on prescription because their health may be adversely affected by this change.

    The CCGs currently plan to;

    It is the CCGs responsibility to regularly review areas of prescribing to identify where improvements in quality or cost can be made.

    In September the CCGs told the public it was facing a significant financial shortfall. The CCG’s asked the public to help prioritise the services it provides.  A full copy of the findings of that survey is available on the CCG web sites: www.mansfieldandashfieldccg.nhs.uk or www.newarkandsherwood.nhs.uk

    The public response indicated that the following areas of prescribing are seen as a low priority when compared to a range of other services.

    The CCGs are asking the public to comment about the changes before they are introduced.

    In 2015, the CCGs carried out a survey of the general public for comments about plans to limit to eight per month, the number of gluten free items prescribed for people who live in Mansfield and Ashfield and Newark & Sherwood areas.

    Almost ninety per cent of the people who responded were those in receipt of gluten free products who supported the continuation of NHS funded gluten free prescriptions.

    As a result of the most recent public survey about NHS priorities and the current financial position, the CCGs have further reviewed the provision of gluten free products and are now planning to stop funding them altogether.

    Tale 1: Comparative costs to provide gluten free foods for an adult male per month.


    Cost of Gluten Free Food on NHS Prescription



    About £75.00


    Cost of Gluten Free Food purchased from Supermarket



    About £32,00


    Cost of Equivalent Gluten Containing Food



    About £18.00

    Source: NHS PrescQIPP Bulletin February 2015

    Who will this affect?

    The CCG anticipates that if gluten free foods were no longer available on prescription, for an average male, this would increase their food bill by an average of £5 per month if they were to buy the equivalent 8 items from a supermarket.




    Medicine name and clinical use NHS cost of brand / non-formulary medicine * Cost of non-branded (generic) / formulary medicine * Difference in price


    Omeprazole 20mg/ Losec brand

    Medicine used to treat heartburn or stomach ulcers







    Cetirizine / Levocetirizine

    Hayfever medicine

    £4.34 £0.83 £3.51
    Sildenafil / Tadalafil

    Treatment for erectile dysfunction







    Sumatriptan / Imigran brand

    Migraine Treatment

    £51.50 £1.86 £49.62

    * Monthly cost of medicine at standard treatment dose

    Funds saved by stopping the prescribing of these medicines could be used to support other clinical services.

    Who will this affect?








    Who will this affect?

    This change will affect people seeking treatment from their GP for minor conditions.

    Advice and treatment is available through local Community Pharmacies and some products such as simple pain killers are also widely available at supermarkets and general stores.

     Who is leading this engagement?

    It is being led by NHS Mansfield and Ashfield CCG and NHS Newark and Sherwood CCG who are working in partnership across mid-Nottinghamshire. These organisations plan and pay for the healthcare services for our communities, ensuring best value for money for our patients.


     How can people feedback about our plans.

    The CCGs plan to engage with the public about these plans between 4 January 2017 and 1 February 2017.

    This will include:


    What are the planned changes?

    1. The CCG intends to stop prescribing gluten free foods for all patients.
    2. The CCG intends to stop prescribing all branded medicines (where a lower cost non-branded medicine is available) and restricted use medicines for all patients.
    3. The CCG intends to stop prescribing medicines for self-care for all patients.

     You are being asked if these policies should apply to ALL patients or if there are any vulnerable groups of patients who should still get these medicines and products on prescription because their health may be adversely affected by this change.

    If you think there are exceptions to the policies, we would like to hear why you feel these groups of people should receive these medicines on prescription.

    As commissioners (Mansfield & Ashfield Clinical Commissioning Group; CCG and Newark and Sherwood CCG) we plan and buy health care services for our local population. We have a legal duty to live within our means and we need to save around £20 million this financial year, roughly twice our normal savings requirement. This is likely to increase over the next few years. We need to ensure that there is enough money to maintain high quality and safe services for future generations.

    These changes are being planned to make sure we have a consistent policy in place across Mid-Nottinghamshire.

    These changes are also being made to make better use of healthcare services, ease the pressure on general practice and make NHS money go further.